NPI | 1043715261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704016420) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-03-28 |
Last Update Date | 2024-09-13 |